Individual provider Active NPI

Tamara Williams McCoy, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1265855548
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
932 Issued in AL
Practice address
720 Montclair Rd
Birmingham, AL 35213-1964
Phone
(205) 397-5200
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 932 AL Primary

Addresses

Primary practice location

720 Montclair Rd
Birmingham, AL 35213-1964

Mailing address

2343 Abbeyglen Cir
Hoover, AL 35226-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410000935 AL Practitioner - Physician Assistant 2163654914 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
932ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC CurrentSince Jun 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2021 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 1, 2021 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 1, 2021 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

Interoperability endpoints

  • Direct secure messaging: tamaramwilliams@direct.uabmedicine.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1265855548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 ABBEYGLEN CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352266216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131964",
            "telephone_number": "205-397-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "TAMARA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.